Organization · Type 2 NPI
St. Louis JC Vamc
VA Clinic/Center · Shiloh, IL
NPI number
1154374429
Active
Practice location
1190 Fortune Blvd
Shiloh, IL 62269
Mailing address
PO Box 94462
Cleveland, OH 44101-4462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
7 other providers at this address
- Dustin Storck, D.P.T.Physical Therapist Shiloh, IL NPI 1841477288
- Evan BlankenshipHealth & Wellness Coach Shiloh, IL NPI 1952180648
- Mark David Runner, RNRegistered Nurse Shiloh, IL NPI 1508629734
- Perneshia RobinsonRegistered Nurse Shiloh, IL NPI 1447163654
- Stacy Ann Ward, RNAmbulatory Care Registered Nurse Shiloh, IL NPI 1528869468
- Suzanne Depaulo, MDFamily Medicine Physician Shiloh, IL NPI 1487834206
- Theresa Ann Schultz, RNRegistered Nurse Shiloh, IL NPI 1063275287
About NPI 1154374429
St. Louis JC Vamc's National Provider Identifier is 1154374429, issued on May 18, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Shiloh, IL. The record was last updated on Jul 6, 2018.